Stanley John, PHYSICIAN ASSISTANT
NPI #1942567524 in Bergenfield, New Jersey
Provider Information
- NPI Number
- 1942567524
- Entity Type
- Individual
- Name
- Stanley John, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Apr 19, 2012
- Last Updated
- Nov 27, 2016
Practice Location
- Address
- 324 W CLINTON AVE
- City
- Bergenfield
- State
- New Jersey
- ZIP Code
- 07621-1903
- Phone
- (917) 287-4154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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